The culture of different areas ― what people see others around them doing, the habits they adopt — tends to perpetuate the differences in life expectancy over time. (Photo: Shutterstock)

In an era when “deaths of despair” — from substance abuse and suicide — are on the rise among middle-aged Americans, those who reach age 65 are living longer than ever.

But there’s a catch: Seniors in urban areas and on the coasts are surviving longer than their counterparts in rural areas and the nation’s interior, according to an analysis from Samuel Preston of the University of Pennsylvania, one of the nation’s leading demographers.

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